Provider Demographics
NPI:1588369722
Name:RYDER, KAYLEIGH ANN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:ANN
Last Name:RYDER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 WESTERLY BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2616
Mailing Address - Country:US
Mailing Address - Phone:401-744-4756
Mailing Address - Fax:
Practice Address - Street 1:31 VAUXHALL ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-5723
Practice Address - Country:US
Practice Address - Phone:860-442-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist